AI Article Synopsis
- The study investigates factors influencing discussions about sexual and reproductive health (SRH) between healthcare providers and adolescents during preventive visits.
- The researchers analyzed data from a 2019 national survey involving adolescents aged 11-17 and found that open discussions were positively linked to provider practices, such as face-to-face screenings and having private time with adolescents.
- The results highlight the importance of improving communication strategies in primary care to enhance SRH service delivery for adolescents.
Article Abstract
Purpose: This study examines characteristics of healthcare delivery, providers, and adolescents associated with provider-adolescent discussions about sexual and reproductive health (SRH) during preventive visits.
Methods: Data were from a 2019 national internet survey of U.S. adolescents ages 11-17 years and their parents. Adolescents who had a preventive visit in the past 2 years (n = 853) were asked whether their provider discussed each of eight SRH topics at that visit: puberty, safe dating, gender identity, sexual orientation, whether or not to have sex, sexually transmitted infections including human immunodeficiency virus, birth control methods, and where to get SRH services. Eight multivariable logistic regression models were examined (one for each SRH topic as the outcome), with each model including modifiable healthcare delivery and provider characteristics, adolescent beliefs, behaviors, and demographic characteristics as potential correlates.
Results: Provider-adolescent discussions about SRH topics at the last preventive visit were positively associated with face-to-face screening about sexual activity for all eight topics (range of adjusted odds ratios [AORs] = 3.40-9.61), having time alone with the adolescent during that visit (seven topics; AORs = 1.87-3.87), and ever having communicated about confidentiality with adolescents (two topics; AORs = 1.88-2.19) and with parents (one topic; AOR = 2.73). Adolescents' perception that a topic was important to discuss with their provider was associated with provider-adolescent discussions about seven topics (AORs = 2.34-5.46).
Conclusions: Findings that provider-adolescent discussions about SRH during preventive visits were associated with modifiable practices including time alone between providers and adolescents and screening about sexual activity can inform efforts to improve the delivery of adolescent SRH services within primary care.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066357 | PMC |
| http://dx.doi.org/10.1016/j.jadohealth.2021.10.013 | DOI Listing |
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Article Synopsis
- The study investigates factors influencing discussions about sexual and reproductive health (SRH) between healthcare providers and adolescents during preventive visits.
- The researchers analyzed data from a 2019 national survey involving adolescents aged 11-17 and found that open discussions were positively linked to provider practices, such as face-to-face screenings and having private time with adolescents.
- The results highlight the importance of improving communication strategies in primary care to enhance SRH service delivery for adolescents.
Sexual and Reproductive Health Discussions During Preventive Visits.
Pediatrics
August 2021
Department of Pediatrics, University of Illinois at Chicago, Chicago Illinois.
Objectives: To quantify adolescent- and parent-perceived importance of provider-adolescent discussions about sexual and reproductive health (SRH), describe prevalence of provider confidentiality practices and provider-adolescent discussions about SRH topics during preventive visits, and identify missed opportunities for such conversations.
Methods: We used data from a national Internet survey of 11- to 17-year-old adolescents and their parents. Data were weighted to represent the noninstitutionalized US adolescent population.
Is HIV index testing and partner notification safe for adolescent girls and young women in low- and middle-income countries?
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Introduction: While HIV index testing and partner notification (PN) services have the potential to reach adolescent girls and young women (AGYW) aged 15 to 24 and their sexual partners in need of HIV testing services, the potential social harms have not yet been studied. This commentary highlights the risks of this approach, including intimate partner violence (IPV), stigma and discrimination, and outlines an urgent research agenda to fully understand the potential harms of PN for AGYW, calling for the development of mitigation strategies.
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